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Surgical safety checklist: benefits, facilitators, and barriers in the nurses' perspective
Maria Fernanda do Prado Tostes1, Cristina Maria Galvão2
1Universidade Estadual do Paraná (UNESPAR), Campus de Paranavaí, Colegiado de Enfermagem. Paranavaí, Paraná, Brasil.
Objective:
To identify the benefits, facilitators and barriers in the implementation of the surgical safety checklist, according to the reports of nurses working in the hospital surgical center.
Method:
Cross-sectional study with 91 nurses in 25 hospitals in two municipalities of Paraná. Between the years 2015 and 2016, two structured instruments were used to collect data. For the analysis, Fisher's exact or Chi-Square test was used.
Results:
The implementation of the checklist brought benefits to the patient, surgical team and hospitals. Regarding the facilitators, the results presented a statistically significant difference between the groups in the items offering education (p=0.006) and acceptance by surgeons (p=0.029). In the barriers, the lack of administrative (p=0.006) and management (p=0.041) support, absence of the patient safety nucleus (p=0.005), abruptly introduced list (p=0.001) and absence of education (p<0.001).
Conclusion:
The evidence generated allowed to identify the benefits, facilitators and barriers in the implementation of the checklist in the national context.